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PERMIT APP�ICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLERIDEMOLITION <br /> CITY OF EVERF_TT PERMIT SERVICES <br /> 3200 Cedar SI , Everett, WA 98201 425-257-8610 F�X 425-257-8857 www everethva org <br /> SITEADDRESS: ^/ � VROPENTYTAJ(N PERM�T�3^ <br /> bL <br /> LEGAL lor rew conshucDun. SAotl PI,�VsuAtliwslon Lot No I�Ilnr,n copy ol lo�g legal descnpLon) <br /> OWNER D/� /Pi /T �/Vlt P�one.�Emad as' - 7c�� <br /> AAdress �j��S � � C�IyiStater7ry � /( ��.(� <br /> APPLICANT. _�wnei __Owr•,er�sAgenl Canlraclor ConlracioisAgenl icnanU...,s�.c:.�:n�+�.+�^a<<�,+r�rvem�neu�+�•,a�.on ,��es:a:e, <br /> CONTRACTOR / Statc Lir. p Qty Bus 1 ic # <br /> Addiess P�one�Ema�l <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> ' �'(/,,�,{I I r ��I ��� �onelF.�ma�i <br /> BUILDING PERMIT APPLICATIO CONTRACT PRICE OF WORK __ <br /> [x�slinq Use of f3wldmg / � /�/T I f�L _ H[AT SOURCF <br /> Proposetl Use ol t3u�ltlrg A �b{L7 __fTl't )')/ L_/_i u r .._F _ c3as_ Eiecinc _ oiner_ ,_ <br /> Butldmg type �Smgie Famdy _Duple�_Townhouse _Multi-Fam�ly _Commerual <br /> Type of Prolecl New Adtldron Remodel Repar i I S�qn__Spnn�ler_DemoDuon�Change ol Use <br /> DESCRIPTION OF WORK�nJ,�t:.o��nra�ep'c� .'�°d�.�n�e oa���r <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typc of Projocl: _Now,_, Addn _Attcretlon_Rapalr Typo of Project: _New__Adtln __Alloratlon_Rnpair <br /> Show Num6cr(M)o/�rfures Show Numbcr ryi o/0+fures <br /> !�C-au handling unils lode� <br /> f orced av systems I tlathwb <br /> i Gas p�pmg I ava'ory (wash b�sin� <br /> ' Water heater � Sho�+er <br /> Gas Ineplace �� Nddicn smk 3 A�sposal <br /> Gas ranqc i Uish.vasher <br /> � Clothes dryei ; Clolhes washer <br /> Ranye hood i Water hea�er <br /> L�hnusl fan S�n4lservice/badmoplelc) <br /> Heat Gump UacFllow PrCven�cr <br /> U�id hcater Unndl <br /> [3rnler '� �nn6�ng I"ounlain <br /> � Fiehigeral�on ! Fluordrain <br /> I Woodslove Grease Irap <br /> Duchn Rooldrams <br /> Other i �ded�cal Gas <br /> SPRINKLER I SUPPRESSION SYSTEM I O�he� <br /> Num6er cl Heads �� O�her <br /> I nercGy cenAy�hal l�aac rr,�n��1 e.amme0ln�s eCC�����'�^n an�l��en iPe samc lu�c Imc a�C rmr.n t.�i pro�swns cf I.�ws n�0 omnanres ge��nvny Ina lypc elwo��n+'I�v mmpieJ <br /> x'PM1 qnelher speci�ied ncrein ur n^I t�e fjrdn�nq cl d pP�nn anes nrl piHume'n yryo ao��c��ly b vc'ate m Gl�:ri Re pm.ivon o�0�>nine�sidle or btdl IaN�egulYmq comiN[Imn <br /> P�at i nm wlno•rze0 GY��e ownei ol ma¢wpenr lo p�rturm I^e wo���oi w��.cn uppi�Cei.on is��atic d+01 w���p'�H�m Inc Smtc Co��nua:�s�nw i 8 77 RC N an9:4fi:OOA W�C <br /> ��P/,LufLa�n�,t.a ����� `�� <br /> OwncrlAut arizedAgenl5lgnatum 7Dnte iNrv�seJ1�.U�JI <br />